# BRANCH MEDICAL CLINIC PORTSMOUTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NAVAL HEALTH CLINIC NEW ENGLAND
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1275581415
- **Legal business name:** NAVAL HEALTH CLINIC NEW ENGLAND
- **Authorized official:** MR. WILLIAM MICHAEL CONDON (DHA FINANCIAL MANAGER)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 402 GOODRICH AVE, PORTSMOUTH, NH 03804-5000
- **Practice address phone:** (207) 438-1959
- **Practice address fax:** (207) 438-3860
- **Mailing address:** 402 GOODRICH AVE, PORTSMOUTH, NH 03804
- **Mailing address phone:** (207) 438-1959
- **Mailing address fax:** (207) 438-3860

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 05/04/2006
- **Last updated:** 11/09/2022